Dederich-Elsner, Debra
Dederich-Elsner, Debra is an individual health care provider with primary practice located at 2112 Main St Ne , Los Lunas NM 87031-7097. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dederich-Elsner, Debra can be contacted via phone (505) 717-1155.Contact Information
Primary practice address
2112 Main St Ne
Los Lunas NM 87031-7097
Phone: (505) 717-1155
Fax: (505) 717-1473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2316-226 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0206261 | New Mexico |
Profile Details
| NPI number | 1053781146 |
|---|---|
| LBN Legal business name | Dederich-Elsner, Debra |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2015 |
| Last updated | Sep 27th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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